Evaluating the Behavioural Feeding Issues in Children with Cerebral Palsy using the Behavioral Pediatric Feeding Assessment Scale in Malayalam (BPFAS-Malayalam)

Sona Paul; Rohila Shetty; Vini Abijith Gupta

doi:10.36948/ijfmr.2026.v08i03.81465

Evaluating the Behavioural Feeding Issues in Children with Cerebral Palsy using the Behavioral Pediatric Feeding Assessment Scale in Malayalam (BPFAS-Malayalam)

Author(s)	Ms. Sona Paul, Prof. Dr. Rohila Shetty, Dr. Vini Abijith Gupta
Country	India
Abstract	Feeding is a complex process involving sucking, chewing, swallowing and children with cerebral palsy often experience feeding and swallowing problems due to oro-motor impairment. This study aimed to assess feeding behaviour in Malayalam-speaking children with spastic CP using the BPFAS-Malayalam (Paul & Gupta,2026) and compare them with TD children. A total of 30 children aged 4-8 years with 15 children with spastic CP and 15 TD children from Kerala were included. Parents/Caregivers completed the BPFAS-Malayalam and the data was analysed using the Mann-Whitney U test and the test-retest reliability was assessed using Intra-class correlation coefficient. The results of the current study revealed that children with CP had poorer feeding behaviour including problems related to chewing, swallowing, drooling and mealtime behaviour which resulted in significantly higher feeding difficulty scores than TD children in both frequency and problem for you of the BPFAS-Malayalam questionnaire. Hence, the present study concludes that BPFAS-Malayalam is a useful and reliable tool for SLPs to identifying feeding difficulties in children with CP supporting early screening, intervention planning and progress monitoring.
Keywords	Pediatric feeding disorder, Children with CP, BPFAS -Malayalam, Test-retest reliability.
Field	Medical / Pharmacy
Published In	Volume 8, Issue 3, May-June 2026
Published On	2026-06-16
DOI	https://doi.org/10.36948/ijfmr.2026.v08i03.81465

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Evaluating the Behavioural Feeding Issues in Children with Cerebral Palsy using the Behavioral Pediatric Feeding Assessment Scale in Malayalam (BPFAS-Malayalam)

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